El daño y el nexo causal en la perdida de oportunidad

El presente escrito se ocupa de estudiar el nexo de causalidad como elemento estructural de la responsabilidad cuando éste es difuso. Para ello, se pretende abordar la pérdida de la oportunidad como una teoría especial de causalidad que tiene lugar cuando el nexo causal no resulta claro, lo cual contradice la tesis preponderante de la doctrina y la jurisprudencia tradicional según la cual, la pérdida de la oportunidad es un criterio autónomo del daño. En su contenido se realiza una explicación del por qué se entiende la pérdida de la oportunidad como una teoría especial de causalidad y no como un criterio autónomo de daño, haciendo énfasis en el elemento de certeza que caracteriza al daño. Posteriormente, se advierte del tratamiento que la jurisprudencia le ha dado a la pérdida de la oportunidad. A su turno, el presente documento, indica la naturaleza jurídica de la pérdida de la oportunidad, afirmando que es una inferencia lógica que realiza el juez y no un hecho que altere el estado de las cosas como si sucede con el daño. Finalmente, se aborda la prueba de la teoría de la pérdida de la oportunidad mediante un cálculo de probabilidades y se identifican los pasos para realizar una adecuada reparación integral.

Cone Ratios in Myopia and Emmetropia: A Pilot Study

Purpose There is a suggestion that the long wavelength-sensitive (LWS)-to-middle wavelength-sensitive (MWS) cone ratio in the retina is associated with myopia. The aim was to measure the LWS/MWS amplitude modulation ratio, an estimate of the LWS/MWS cone ratio, in young adult emmetropes and myopes. Methods Multifocal visual evoked potentials were measured when the LWS and MWS cone systems were excited separately using the method of silent substitution. The 30 young adult participants (22 to 33 years) included 10 emmetropes (mean [±SD] refraction, +0.3 [±0.4] diopters [D]) and 20 myopes (mean [±SD] refraction, -3.4 [±1.7] D). Results The LWS/MWS amplitude modulation ratios ranged from 0.56 to 1.80 in the central 3- to 13-degree diameter ring and from 0.94 to 1.91 in the peripheral 13- to 30-degree diameter ring. Within the central ring, the mean (±SD) ratios were 1.20 (±0.26) and 1.20 (±0.33) for the emmetropic and the myopic groups, respectively. For the peripheral ring, the mean (±SD) ratios were 1.48 (±0.27) and 1.30 (±0.27), respectively. There were no significant differences in the ratios between the emmetropic and myopic groups for either the central (p = 0.99) or peripheral (p = 0.08) rings. For the latter, more myopic refractive error was associated with lower LWS/MWS amplitude modulation ratio; the refraction explained 16% (p = 0.02) of variation in ratio. Conclusions The relationship between the LWS/MWS amplitude modulation ratios and refraction at 13 to 30 degrees indicates that a large longitudinal study of changes in refraction in persons with known cone ratio is required to determine if a low LWS/MWS cone ratio is associated with myopia development.

A phase II trial of brivanib in recurrent or persistent endometrial cancer: An NRG oncology/gynecologic oncology group study

PURPOSE Brivanib, an oral, multi-targeted tyrosine kinase inhibitor with activity against vascular endothelial growth factor (VEGF) and fibroblast growth factor receptor (FGFR) was investigated as a single agent in a phase II trial to assess the activity and tolerability in recurrent or persistent endometrial cancer (EMC). PATIENTS AND METHODS Eligible patients had persistent or recurrent EMC after receiving one to two prior cytotoxic regimens, measurable disease, and performance status of ≤2. Treatment consisted of brivanib 800 mg orally every day until disease progression or prohibitive toxicity. Primary endpoints were progression-free survival (PFS) at six months and objective tumor response. Expression of multiple angiogenic proteins and FGFR2 mutation status was assessed. RESULTS Forty-five patients were enrolled. Forty-three patients were eligible and evaluable. Median age was 64 years. Twenty-four patients (55.8%) received prior radiation. Median number of cycles was two (range 1-24). No GI perforations but one rectal fistula were seen. Nine patients had grade 3 hypertension, with one experiencing grade 4 confusion. Eight patients (18.6%; 90% CI 9.6%-31.7%) had responses (one CR and seven PRs), and 13 patients (30.2%; 90% CI 18.9%-43.9%) were PFS at six months. Median PFS and overall survival (OS) were 3.3 and 10.7 months, respectively. When modeled jointly, VEGF and angiopoietin-2 expression may diametrically predict PFS. Estrogen receptor-α (ER) expression was positively correlated with OS. CONCLUSION Brivanib is reasonably well tolerated and worthy of further investigation based on PFS at six months in recurrent or persistent EMC.

Non-polio enteroviruses and their association with acute diarrhea in children in India

A causative agent in approximately 40% of diarrhea] cases. still remains unidentified. Though many enteroviruses (EVs) are transmitted through fecal-oral route and replicate in the intestinal cells, their association with acute diarrhea has not so far been recognized due to lack of detailed epidemiological investigations. This long-term, detailed molecular epidemiological study aims to conclusively determine the association of non-polio enteroviruses (NPEVs) with acute diarrhea in comaparison with rotavirus (RV) in children. Diarrheal stool specimens from 2161 children aged 0-2 years and 169 children between 2 and 9 years, and 1800 normal stool samples from age-matched healthy children between 0 and 9 years were examined during 2008-2012 for enterovirus (oral polio vaccine strains (OPVs) and NPEVs). Enterovirus serotypes were identified by complete VP1 gene sequence analysis. Enterovirus and rotavirus were detected in 19.01% (380/2330) and 13.82% (322/2330) diarrheal stools. During the study period, annual prevalence of EV- and RV-associated diarrhea ranged between 8% and 22%, but with contrasting seasonal prevalence with RV predominating during winter months and NPEV prevailing in other seasons. NPEVs are associated with epidemics-like outbreaks during which they are detected in up to 50% of diarrheic children, and in non-epidemic seasons in 0-10% of the patients. After subtraction of OPV-positive diarrheal cases (1.81%), while NPEVs are associated with about 17% of acute diarrhea, about 6% of healthy children showed asymptomatic NPEV excretion. Of 37 NPEV serotypes detected in diarrheal children, seven echovirus types 1, 7, 11, 13, 14, 30 and 33 are frequently observed, with Ell being more prevalent followed by E30. In conclusion, NPEVs are significantly associated with acute diarrhea, and NPEVs and rotavirus exhibit contrasting seasonal predominance. This study signifies the need for a new direction of research on enteroviruses involving systematic analysis of their contribution to diarrheal burden. (C) 2013 Elsevier B.V. All rights reserved.

Quando a magreza torna-se um ideal masculino: um estudo socioantropologico sobre a anorexia e a bulimia em homens

Esta dissertação pretende discutir o surgimento de casos de anorexia nervosa e bulimia nervosa em homens e sua relação com: a - as questões socioculturais ligadas ao culto à magreza e seus desdobramentos (como a noção de estilo de vida); e b - as discussões sobre masculinidades, experiências corporais e subjetivas desses sujeitos. Seu principal objetivo é compreender como estes transtornos alimentares, tidos como distúrbios de ordem psiquiátrica pela literatura biomédica, não estão restritos somente ao feminino, sugerindo também implicações ligadas ao processo de elaboração do saber médico, seus campos de pesquisa e atuação. A metodologia empregada foi a realização de entrevistas via MSN Messenger, com 20 homens entre 13 e 30 anos, que declaram passar ou ter passado por algum tipo de experiência envolvendo a anorexia e/ou bulimia.

中国都江堰地区两种林龄森林中外生菌根真菌的多样性

外生菌根是重要的菌根类群，在自然界中分布广泛。外生菌根真菌参与了生物地球化学循环，是森林生态系统中的重要组分。由于外生菌根真菌的宿主植物通常是一些生态系统的优势种和建群种，并且这些真菌还参与了许多森林生态系统的有机和无机元素循环、物种的竞争和共存、生物多样性的维持、生态系统的演替等过程，因而对外生菌根真菌的研究有助于对这些生态系统维持和演替机制的深入理解。作者在中国四川都江堰地区选择了两个不同林龄的森林，应用分子生物学方法，研究了它们的外生菌根真菌群落组成。比较分析了两种年龄亚热带森林下真菌群落的物种组成、密度和多样性的差异，并分析了外生菌根真菌群落与宿主植物群落之间的相互关系，主要研究结果如下： (1) 用分子方法(巢式PCR, RFLP和DNA测序)鉴定了87个土样中的ECM真菌。共检测到70种真菌，属于13目21科30属，其中,子囊菌门5目6科6属8种,担子菌门8目15科24属62种。在担子菌门中，革菌目、红菇目和伞菌目三个目的真菌为常见种。 (2) 成熟林的ECM真菌物种数、密度和物种多样性都显著高于幼林。 (3) 少数几种ECM真菌在群落中占绝对优势，而大多数种类的相对多度和相对频度都较低。重要值（IV）至少在一个样地中大于4.0％的真菌共有12种。成熟林中，IV大于4.0％的ECM真菌有8种，分别是：Russula sp.01，Tomentella sp.01，Tomentella sp.04，Tomentella sp.05，Boletales-01，Lactarius sp.01，Tricholomataceae-01，Leptodontidium sp.01；幼林中IV大于4.0％的真菌有6种，分别是：Lactarius quietus，Russula sp.01，Tomentella sp.01，Tomentella sp.02，Tomentella sp.03， Trechisporales-01。 (4) 成熟林与幼林中的优势属有所不同，成熟林以绵菌属和红菇属最丰富，幼林以乳菇属最丰富，其次是绵菌属和红菇属； (5) ECM真菌群落与乔木群落关系密切，ECM真菌群落物种多样性随着菌根乔木群落物种多样性的增加而增加；ECM群落密度随着非菌根乔木群落密度的增加而降低；ECM群落物种数随着非菌根乔木群落物种数的增加而降低。 (6) ECM真菌群落间的相似性与菌根乔木群落间相似性之间呈显著正相关，即，菌根乔木群落之间越相似，则菌根群落之间也越相似；ECM群落间的相似性与非菌根乔木群落间的相似性之间无相关性。

On the resources of demersal fishes for bottom trawling in inshore waters off Kakinada by small mechanised boats

An attempt is made to assess the available resources of demersal fishes for bottom trawling off Kakinada, in inshore waters. From the experimental fishing operation during 1964-66, the average catch per hour was 52.79 kg for 9.13 m (30') OAL mechanised boat. The catch composition was dominated by prawns and sciaenids forming 45% of the total catch. The average catch per trawling hour was more during the quarter April - June. An assessment on productive depth range has indicated that catch rate is increasing with increase in the depth of fishing.

一种节能显著的空调制冷机——溴化锂吸收式制冷机

一、概况溴化锂吸收式制冷机是以热能为动力，水为制冷剂，溴化锂溶液为吸收剂，可以制取7～13℃低温水作为空调和某些化工、石油产品、食品及炼焦副产品回收等冷却之用。1945年美国凯利亚公司试制成功了第一台溴化锂吸收式制冷机(以后简称为溴化锂冷机)。发达的资本主义国家空调耗能很大，美国耗能占全国总耗能量30～40%，由于溴

表面等离子体调制的纳米孔径垂直腔面发射激光器

在普通850 nm垂直腔面发射激光器基础上制备了表面等离子体调制的纳米孔径垂直腔面发射激光器.当小孔直径为200 nm,周围光栅的周期为400 nm时,在15 mA驱动电流下最大输出光功率达到了0.3 mW.介绍了该器件的制备工艺,并从实验和理论两方面分析了周期性光栅结构对光束的约束作用.

CMOS超高频整流器

提出了一个适用于无源UHF RFID标签芯片的全CMOS整流器.整流器包括射频-直流转换电路、偏置电路、直流-直流转换电路和振荡器电路.整流器的工作频率范围是860～960 MHz.基于0.18μm,1p6m的标准数字CMOS工艺,设计并实现了无源UHF RFID标签芯片的整流器.该设计采用开关电容电路技术动态地消除了CMOS管开启电压的问题,在标准数字CMOS工艺下实现了高效率的超高频整流器.整流器的面积为180μm×140μm.当输入900MHz,-16dBm的射频信号时,整流器的输出电压为1.2V,启动时间为980μs.

掩埋隧道结VCSEL芯片小信号等效电路模型

提出了适用于一种1.55μm掩埋隧道结垂直腔面发射激光器(VCSEL)芯片的小信号等效电路模型.等效电路的提出是基于半导体激光器速率方程以及VCSEL芯片结构,电路中各元件都有严格的物理意义.根据实验测得芯片的反射系数及传输参数,通过小信号等效电路仿真模拟,得到电路各元件参数值.不同偏置电流下,模拟结果与实验结果吻合都非常好,证明了该等效电路的有效性.